Care Home: Preston Short Breaks Service

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What the care home does well The introductory procedures at the service are extensive and enable people who would like to use the service to visit and become familiar with the surroundings, staff and meet other people who spend time at Preston Short Breaks Service. The assessment process is thorough and the pace of introduction is designed to meet the needs of the person. The manager carries out an assessment and meets with the person, their parents and carers and any other involved professionals. The inclusive nature of the process ensures that personal preferences are known, and that personal and health needs are fully understood. The short break service provides support to people with a wide variety of health and social care needs, all of whom have a learning disability. The staff support people with complex health needs and have received training to ensure that they can do this safely. The service is able to offer culturally appropriate care and this provides a valuable service for people who require same sex social and care arrangements. The care plans and risk management strategies are now well established. The care plans are person centred. The manager has introduced systems to ensure that the plans and risk management protocols are read and understood by all staff. The importance of balancing independence and safety is understood by staff. The staff who completed surveys felt that they were supported in their jobs. They has up to date information about peoples care and support needs. They have regular opportunities to add to and up date their knowledge and skills. 66% of the staff group have a National Vocational Qualification at level 2 or above in Health and Social Care, which is the recommended qualification for people in social care. They also completed the Learning Disability Qualification induction and foundation standards. There was evidence of training being provided to meet individual needs and this enables people who have complex needs to spend time at the service. The service provides many opportunities for people to enjoy social activities. For some people consistence is essential in maintaining established routines and the staff understand this. The short break service is designed to compliment the support package in place for the individual. The service is well managed. There are several ways in which quality is monitored which range from follow up phone calls after each visit to external quality assurance awards. The manager is committed to involving people in the development of the service and there were examples of how this has influenced the development of the service. The comments received for people who use the service and staff were positive and included `This is a very nice place the staff ask me what I want to have for tea or if I want to go out. They always say where do you want to go and I say you choose! What every we do we always have a good time.` `The staff are really nice and always listen, I can ask them anything and they will help.` `The service takes into account all individual needs and we are given up to date training, we have the knowledge of the person we support to ensure their stay with us is happy and that activities can be planned,` `The service meets individual needs and offers a caring and supportive environment. We support people from ethnic minorities and there is excellent training opportunities for staff.` What has improved since the last inspection? The service has been relocated to a new site. The accommodation is purpose build to an excellent standard. Much thought has been given to the lay out of the building. People who use the service and their supporters were fully involved through out the planning and building stages of the redevelopment. This has produced a building which is fit for purpose and can be used flexibly. The staff have benefited from inclusive communication training. All people supported by the service have a pictorial hospital information sheet to increase their understanding of hospital admissions and give them confidence that hospital staff have an understanding of what is important to them. Staff have grown in confidence and ability to support people with complex needs and have developed good working relationships with health staff. The management structure of the service has been reviewed and additional support provided. What the care home could do better: The staff of Preston Short Breaks Service provide support and promote the well being of the people who use the service. The manager and staff team have a clear sense of direction and have demonstrated they are able to identify areas for improvement and continued development of the service.The service met or exceed all the National Minimum Standards during this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Preston Short Breaks Service 50 Larches Avenue Ashton-On-Ribble Preston Lancs PR2 1LN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Felicity Lacey     Date: 1 8 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Preston Short Breaks Service 50 Larches Avenue Ashton-On-Ribble Preston Lancs PR2 1LN Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Shan Paula Morrow Type of registration: Number of places registered: care home 6 Lancashire County Council Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories; Learning disabilities - Code LD The maximum number of service users who can be accommodated is 6. Date of last inspection Brief description of the care home Preston Short Breaks Service provides a service for men and women who have a learning disability and complex needs. The service is operated by Lancashire County Council. The service is registered to provide personal care for up to six people. Staff members are flexible in the support they offer and aim to maintain consistency and continuity for people being supported. The service is situated in a suburb of the city of Preston and is well served by public transport. The property is a modern, detached and purpose built. There are four bedrooms fitted with overhead tracking and two other Care Homes for Adults (18-65 years) Page 4 of 27 6 Over 65 0 Brief description of the care home bedrooms. The design of the property enables support to be provided to a large group or for people to use the two bedroom annex. Information about referrals and charges can be obtained from the manager of the service. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection included and unannounced visit to the service. Information was provided by the manager of the home including the way in which the staff of the service meet the needs of people using the service, the training and support staff receive and data about health and safety at the service. Surveys were received from three people who use the service and four members of staff. During the visit to the service a person using the service and the manager were spoken with. Care records and documents relating to the support provided at the service were looked at. A tour of the premises took place. This service has relocated to a new site since the last key inspection. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: The introductory procedures at the service are extensive and enable people who would like to use the service to visit and become familiar with the surroundings, staff and meet other people who spend time at Preston Short Breaks Service. The assessment process is thorough and the pace of introduction is designed to meet the needs of the person. The manager carries out an assessment and meets with the person, their parents and carers and any other involved professionals. The inclusive nature of the process ensures that personal preferences are known, and that personal and health needs are fully understood. The short break service provides support to people with a wide variety of health and social care needs, all of whom have a learning disability. The staff support people with complex health needs and have received training to ensure that they can do this safely. The service is able to offer culturally appropriate care and this provides a valuable service for people who require same sex social and care arrangements. The care plans and risk management strategies are now well established. The care plans are person centred. The manager has introduced systems to ensure that the plans and risk management protocols are read and understood by all staff. The importance of balancing independence and safety is understood by staff. The staff who completed surveys felt that they were supported in their jobs. They has up to date information about peoples care and support needs. They have regular opportunities to add to and up date their knowledge and skills. 66 of the staff group have a National Vocational Qualification at level 2 or above in Health and Social Care, which is the recommended qualification for people in social care. They also completed the Learning Disability Qualification induction and foundation standards. There was evidence of training being provided to meet individual needs and this enables people who have complex needs to spend time at the service. The service provides many opportunities for people to enjoy social activities. For some people consistence is essential in maintaining established routines and the staff understand this. The short break service is designed to compliment the support package in place for the individual. The service is well managed. There are several ways in which quality is monitored which range from follow up phone calls after each visit to external quality assurance awards. The manager is committed to involving people in the development of the service and there were examples of how this has influenced the development of the service. The comments received for people who use the service and staff were positive and included This is a very nice place the staff ask me what I want to have for tea or if I want to go out. They always say where do you want to go and I say you choose! What every we do we always have a good time. The staff are really nice and always listen, I can ask them anything and they will help. Care Homes for Adults (18-65 years) Page 7 of 27 The service takes into account all individual needs and we are given up to date training, we have the knowledge of the person we support to ensure their stay with us is happy and that activities can be planned, The service meets individual needs and offers a caring and supportive environment. We support people from ethnic minorities and there is excellent training opportunities for staff. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admissions processes are extensive and inclusive and this means that people are able to make an informed decision about using Preston Short Breaks Services. Evidence: Preston Short Breaks Service has a comprehensive and inclusive admission process in place. Examples were seen of completed assessments, the assessment includes discussions with the person who will use the service and their supporters. A person who currently is staying at the service explained that he had chance to visit and see other people at the house before coming to live there. He thought that the staff were very helpful and explained things to him. The amount of time available for introductions was limited due to circumstances, however the manager completed a comprehensive assessment and met with significant people. The care records seen showed that the transition and introduction to using the respite service is paced in line with the needs of the person. The staff spend time getting to know the person and familiar with routines and health needs, and in turn the person becomes familiar with the service and the people involved. The service is available to people with a wide range of support needs and the importance of ensuring the compatibility of people Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: who are coming for a short break is recognised. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use Preston Short Breaks Service are included in the planning of their own support and this means their needs are understood and met. Evidence: Individual preferences and choices are well documented. The aim of the short break service is to provide a consistent and complimentary support service to people with learning disabilities. This is achieved by respecting the personal preferences and routines of the people who come to stay. The support plans include consideration of morning routines, what goes on during the day and night time routines. The person who was staying at the time of this inspection, explained how he liked to organise his day and this was reflected in his support plan. There was evidence of staff respecting the wishes of the person and promoting independence. This service offers short breaks which offer support to people who have a learning disability and their families. The care planning systems in place are extensive and focused on the needs of the individual. Each person has their own file which includes a Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: one page profile, this includes key information and is written in a person centred way, for example it contains sections entitled What people like and admire about me and What is important to me. In this way the personality and choices of the person are highlighted and staff can gain a insight into what is important to the individual. The service offers support to a diverse group of people, and has continued to offer support to people from the Asian community. The newly built service was designed with culturally appropriate support in mind, there is a separate annex with two fully assisted bedrooms, and its own kitchen facilities, which enables cultural requirements to be respected and provided for. This commitment was also reflected in an individual care plan, which detailed the need to provide a person with a strict vegetarian diet and to observe the requirement to fast at certain times, the staff also support the person to attend temple, and ensure that she does not go anywhere where gambling or alcohol are present. The staff respect the decisions made by people spending time at the short break service. People are encouraged to express their opinions about what they may like to do, which bedroom they would like and what level of assistance they will need in daily life. There are arrangements in place to allow people to look after their own money whilst at the service, or this can be dealt with by the staff if required. There is lots of information available to people coming to the service about advocacy and support groups in the local area. Any area of potential risk is identified during the initial assessment and on going support given to the person. Risk assessments are in place which highlight the risk, the impact of this and the ways in which the risk can be minimised and managed. The manager and staff are committed to enabling people by balancing risk with an understanding of health and safety and personal choice. Looking at case files it was evident that risk was being well managed, and risk assessment were being reviewed in line with peoples abilities and preferences. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A flexible short break service is provided and this means people can use Preston Short Breaks Service as part of their overall support plan. Evidence: The short breaks service is arranged to compliment the existing lifestyles and occupations of the people who use it. The people who come to the service are involved in a range of activities, including attending college, work or day services. The care plan details the routines to be followed. For some people who use the service consistency and continuity of care is essential to maintain the plans in place for supporting people with health and behavioural needs. For others the short break service is a time for recreation and enjoying social activities. One person spoken with said This is a very nice place the staff ask me what I want to have for tea or if I want to go out. They always say where do you want to go and I say you choose! What ever we do we always have a good time. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: Efforts are made to provide people with the chance to spend time at the service with people they know and get along with. The flexible booking system allows friends to book dates together and this helps maintain friendships. Prior to a visit people are asked if there is anything in particular they wish to do whilst at Preston Short Breaks and this allows time for staffing to be arranged. The service has supported people whose families have found themselves in crisis over the past year, this has enabled people to come to the service in an emergency and be supported by people that they know and are familiar with, which in turn provides valuable support for families. The service is well placed for access to local community facilities. There is information about the many activities and places of interest in the Preston Area that people may like to go to. In the entrance hall there is a file listing local events and concerts. People have enjoyed visiting local theatres, the cinema, bowling, watching sporting events and spending time with others. The service is able to provide transport when needed, and some people who use the service make good use of public transport. The meals prepared at the service are reflective of the likes and dislikes of the people who are staying at the time. Cultural and health needs are respected. There are some people who require assistance with mealtimes. Staff are trained in how to support the individual and to use any equipment needed. The kitchen areas of the home can be used by the people staying at the service. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and health care support needs of people using the service are well documented and this promotes consistency of care in a safe environment. Evidence: The short break service provides support to people with complex health needs, this is of significant benefit to parents and carers who are able to benefit from the respite provided. The health needs are assessed when a person is referred to the short break service. There was evidence on case files of the involvement of parents, carers and health professionals in ensuring that health care needs were fully understood and met by the staff. The service is equipped with overhead tracking in four bedrooms and the bathrooms, this enables people to be moved and transfered safely. All staff are trained in the safe use of this equipment and in any personal equipment or technical aid a person may need to use whilst at Preston Short Breaks Service. All people have a health action plan, which includes a Hospital Passport this is used to record essential information relating to a persons health needs, such as medications Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: being taken, allergies and communication methods used. This passport system has been developed by the National Health Service and is designed to provide hospital staff with key information should a person require hospital treatment. There is a six monthly review carried out by staff with parents and carers and liaison before visits, to ensure all health care information is up to date. The manager and staff have close links with local medical support services, including the Community Learning Disability Nurse who is able to provide support and guidance on particular health needs. All staff have completed training in health related tasks and the safe administration of medicines. The records maintained by staff showed that health conditions were monitored and kept under review. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints and safeguarding policies in place mean that the welfare of people using the service is promoted and protected. Evidence: The staff and manager are keen to provide people with opportunities to say what they think about their experiences at Preston Short Break Services. In the reception area there are Complaint and Compliments forms, which use picture and clear wording to help people make their views known, a stamped address envelope is provided so people can take the forms home and complete them when they wish. Peoples views are also gathered by a phone call after each visit, and it was evident that any issues picked up in these phone calls were acted upon and investigated. Staff are made aware of local safeguarding procedures through induction, on going training and in team meetings. The manager understands her duties with regard to the Protection of Vulnerable Adults. There are systems in place to record and account for monies held on behalf of people who come for a short break. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Preston Short Breaks Service is purpose built to a high standard and offers adaptable and pleasant accommodation. Evidence: Preston Short Break Service is housed in a purpose built, modern environment. Much thought has been given to the design and features of the home. The involvement of people who use services and their representative in the design and planning stages has ensured that the building meet their needs. There are four fully accessible rooms, which are fitted with overhead tracking. Rooms are en suite. There are six bedrooms and two of these are in an annex. This allows for single sex care to be provided, which has ensured that people from the Asian Community can use the service safe in the knowledge that their cultural and religious beliefs and traditions can be followed whilst they have a short break. There is a jacuzzi bath, and the bathroom is fitted with various forms of lighting to create different atmospheres and experiences. There is alternative support seating, which can be used to enable people who have disabilities to sit in the bath unsupported and in comfort. The furnishing and fittings are of a very high standard. The home was very clean and well presented. There is a large garden area to the rear Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: of the property, and there are plans to develop some of this into a vegetable patch. There is ample communal space which includes a large conservatory, TV room, dining area and a sensory room. The sensory room has a range of lighting and sound equipment, this equipment can be used in individual bedrooms. The room can be used for sensory stimulation, relaxation or for creating a fun atmosphere. Sensory lighting has also been used in the main bathroom which can be used to create a relaxing and calm atmosphere. All parts of the service are kept clean and hygienic. There are systems in place to control the spread of infection. Staff receive information and training about infection control. There are suitable laundry and sluice facilities at the service. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people using Preston Short Breaks Service benefit from a well trained and supported staff team who can meet their personal and health care needs. Evidence: All new and existing staff complete the Learning Disability Qualification induction and foundation training, this is a national qualification framework for people who provide service for people with learning disabilities. A person spoken with during the visit to Preston Short Breaks Service said The staff are really nice and always listen, I can ask them anything and they will help. The surveys received from people who use the service confirmed that staff treated people well and listened and acted on what people said. Staff who completed surveys indicated they were supported in their roles and had regular training opportunities. Their comments included The service takes into account all individual needs and we are given up to date training, we have the knowledge of the person we support to ensure their stay with us is happy and that activities can be planned, and The service meets individual needs and offers a caring and supportive environment. We support people from ethnic minorities and there is excellent training opportunities for staff. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Staff have developed skills in a range of communication methods. They have worked in partnership with specialist agencies to assist in the development of communication passports and inclusive communication skills. 66 of staff have achieved a National Vocational Qualification in Health and Social Care, this is the recommended qualification for people working in social care. The staff have access to a variety of training courses and undertake mandatory training as required. The manager keeps a record of training undertaken and when refreshers are due. The training courses available include Person Centred Planning, Diabetes and Learning Disability, Health Action Planning, Equality and Diversity and Infection Control. Staff have regular opportunities to discuss their training needs with the manager during supervision and at the time of their annual appraisal. The recruitment practices at the service are robust. Recruitment files demonstrated that the recruitment process is being followed and all required checks are completed before new staff start work. Staff complete a probation period and evidence was seen that during this time staff are supported and assessed to ensure the required level of performance is understood. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is managed in an inclusive way and this means people who use the service are able to influence its development. Evidence: The manager of the service is well regarded by the people who use the service, their relatives and representatives and staff. The manager has been fully involved in the establishment of the new service and the transfer from the previous short break service. She is active in local and district networks, has developed good relationships with parents and carers, and professional links with local health and social services. The manager actively involved the people using the service and their supporters in the development of the service, and is responsive to comments and suggestions made. The area manager visits the service to ensure that the quality of service provided is satisfactory. Evidence was seen of regular reports of these visits and action taken in response to issues identified. Quality is also monitored through follow up phone calls to people who have used the service and compliments and complaints feedback forms. The service is currently applying for an Investors in People quality assurance award. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: The service is also assessed as part of the district Charter Mark review. Staff have received training in health and safety topics, including Moving and Handling, Basic First Aid and Basic Food Hygiene. There are regular health and safety checks carried out by the staff of the home and audits completed by Lancashire County Council. The information provided by the manager indicates that all required health and safety checks and servicing of equipment have been completed and are up to date. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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